WQ0035576_Residual Annual Report 2021_20220214

Non -Discharge Branch Upload/Submittal Form
NORTH CAROLINA
En.anmemfal Qualify
Version 2 - Revised June 23, 2020
Initial Review
Reviewer
EADS\ndthornburg
Is this submittal an application? (Excluding additional information.)*
Yes No
If not an application what is the submittal type?*
Annual Report
Residual Annual Report
Additional Information
Other
Annual Report Year* 2021
Permit Number (IR) * WQ0035576
Applicant/Permittee Broad River Water Authority
Email Notifications
Does this need review by the hydrogeologist?* Yes • No
Regional Office
CO Reviewer
Admin Reviewer
Asheville

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
Name*
Brad Joyner
Email Address*
[e-mail]
Project Information
Application/Document Type *
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
8282877776
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
Residual Annual Report
Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deg.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type: *
Permit Number: *
Applicant/Permittee Address*
Facility Name*
Wastewater Irrigation
Other Wastewater
Closed -Loop Recycle
Single -Family Residence Wastewater
Irrigation
WQ0035576
Has Current Existing permit number
PO Box 1269 Rutherfordton NC 28139
High -Rate Infiltration
Reclaimed Water
Residuals
Other
Broad River Water Authority Class A Residuals Program
Please provide comments/notes on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here. *
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
BRWA 2021 WQ0035576.pdf 621.32KB
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order and
made payable to the North Carolina Department of Environmental Quality (NCDEQ).
I also confirm that the uploaded document is a single PDF with all parts of the
application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
.7byrfrii-
Submission Date 2/14/2022

2021
Broad River Water Authority
2021 Annual Report
Land Application Program
Permit No. WQ0035576

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0035576 County: Rutherford Year: 2021
Facility Name (as shown on permit):
Land Application Operator:
Broad River Water Authority
US Biosolids, Inc,
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
El Yes L7 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary:
Total number of application fields in the permit:
N/A
Total number of fields utilized for land application during the year:
2
Total amount of dry tons applied during the year for all application sites:
404.3
Total number of acres utilizes for land application during the year:
17.96
Part B - Annual Compiance Statement:
Facility was compliant during calendar year
(including but not limited to items 1-13 below) issued by the Division of Water Resources. © Yes ('� No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
2021 with all conditions of the land application permit
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and Time was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three
(3) copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1 105(a) or the Pollutant
Loading Rates in i 5A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .11 1 1 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case ofa deviation. prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
eiThozA(LS.At t u'+vt i t u ) Q.c7Y.'ur-t-t--6,
Permittee Name and Title (type or print)
Date
dZ ' f V �2 L 2 �t-. /4� — + 002.
Signatdre of Prepare * ate Signature of Land Applier Date
(if different fro ' - ittt ) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

Broad River Water Authority
OPERATOR:
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**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
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CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
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Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF - B (12/2006)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: Broad River Water Authority
WQ Permit Number: WQ0035576
WWTP Name: Broad River Water Authority
Monitoring Period: From I / 1 /2021
To
NPDES Number: NC0181035
12/31/2021
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A:
Alternative 1 ❑
Alternative 2 ❑
Alternative 3 ❑
Alternative 4 D
Alternative 5 0
Alternative 6 ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further
Reduce Pathogens":
Compost ❑
Heat Diying ❑
Heat Treatment ❑
Thennophilic ❑
Beta Ray ❑
Gamma Ray
■
Pasteurization ❑
Class B:
Alternative 1 ❑
Alternative 2 ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Drying❑
Composting ❑
Aerobic Digestion ❑
Anaerobic Digestion 0
il
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Humber of
Excee-
Frequency
of Analysis
of y
Sample
Type
l
Analytical
Tech -
niaue
Minimum
Geo. Mean
Maximum
Units
Fecal Coliform
2 x 10 to the
bth power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
n (40 CFR 543.33) -Please indicate option •performed:
Alt.1 (VS reduction)
0
Alt. 2 (40-day bench) 0
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. 02 uptake)
0
Alt. 5 (14-Day Aerobic)
❑
Alt. 6 (Alk. Stabilization 0
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable)
0
Alt. 9 (Injection)
❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed
0
CERTIFICATION STATEMENT (please check the appropriate statement)
d "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have been met."
© "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check
this statement attach an explanation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
131tAirri, Mel- Dennis Aovir u�..,. /� it Dennis Key US Biosolids, Inc.
Preparer Nanand Title e or pri
nt) (ty� p nt) Land Applier Name and Title (if appiicable)(type or print)
qt..% 17
Signature of P parer l
\ Date Signature of Land Applier (if applicable)
*Preparer is define i CIr'R Part 503.9(r) and 15A NCAC 2T .1102 (26)
2 -etA.2a
Date
DENR FORM PVRF soa (12I7nnni

Waypoint..
ANALYTICAL
46381
US Biosolids Inc
Dennis Key
958 Hoots Road
Roaring River , NC 28669
Project BRWA
Information :
7621 Whitepine Road, Richmond, VA 23237
Main 804-743.9401 ° Fax [phone]
www.waypointanalytical.com
Report Number : 21-207-0003 REPORT OF ANALYSIS
Lab No : 77253
Sample ID : BRWA
Report Date : 08/03/2021
Received : 07/26/2021
.?Ap(iY
Plc (rlawyy
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled: 7/ 20/ 2021 15:00
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
Total Solids 31.1
0.010 1 07/27/21 16:43 FMM SM-2540G
Total Kjeldahl Nitrogen 8490 mg/Kg - dry 804 1 08/02/21 09:00 JP) iM-4500-NH3C-TKI
Phosphorus 1320 mg/Kg - dry 80.4 5 08/02/21 16:53 JTR 6010D
Potassium 2330 mg/Kg - dry 161 5 08/02/21 16:53 JTR 6010D
Sulfur 2470 mg/Kg - dry 161 5 OB/02/21 16:53 JTR 6010D
Calcium 1260 mg/Kg - dry 804 5 08/02/21 16:53 JTR 6010D
Magnesium 3540 mg/Kg - dry 80.4 5 08/02/21 16:53 JTR 6010D
Sodium <402 mg/Kg - dry 402 5 08/02/21 16:53 JTR 6010D
Iron 46000 mg/Kg - dry 161 5 08/02/21 16:53 JTR 6010D
Manganese 691 mg/Kg - dry 8.04 5 08/02/21 16:53 JTR 6010D
Copper 36.3 mg/Kg - dry 8.04 5 08/02/21 16:53 JTR 6010D
Zinc 82.3 mg/Kg - dry 20.1 5 08/02/21 16:53 JTR 6010D
Organic N 7740 mg/Kg - dry 803.9 1 08/02/21 09:00 CALCULATION
Nitrate+Nitrite-N 131 mg/Kg - dry 15.6 1 07/28/21 15:57 ZBD 4500NO3F-2011
Nickel 19.2 mg/Kg - dry 4.02 5 08/02/21 16:53 ]TR 6010D
Mercury 0.0768 mg/Kg - dry 0.0498 1 07/29/21 13:03 DDB SW-7471B
Selenium <8.04 mg/Kg - dry 8.04 5 08/02/21 16:53 JTR 6010D
pH 6.6 s.u.
1 07/30/21 14:36 DRS 90450
Qualifiers/
Definitions
* Outside QC Limit B Analyte detected in blank
C GCMS Confirmation Analysis E Result above cal range
g GGA Outside QC Limits H Beyond holding time
3 Estimated value M Minimum value
NA Not on Scope of Accreditation NC Not confirmed
Q RPD >40% dual column results T Sample exhibits toxicity
U Unconfirmed N Refer to cover letter.

Waypoint..
ANALYTICAL
46381
US Biosolids Inc
Dennis Key
958 Hoots Road
Roaring River , NC 28669
Project BRWA
Information :
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Report Number : 21-207-0003 REPORT OF ANALYSIS
Lab No : 77253
Sample ID : BRWA
Report Date : 08/03/2021
pp Received : 07/26/2021
aw,c (44 iroau/
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled: 7/20/2021 15:00
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
Ammonia Nitrogen 749 mg/Kg - dry 322 1 08/02/21 15:00 JP] SM-4500-NH3C
Aluminum 143000 mg/Kg - dry 804 50 08/02/21 16:58 JTR 6010D
Arsenic <8.04 mg/Kg - dry 8.04 5 08/02/21 16:53 JTR 6010D
Cadmium <1.61 mg/Kg - dry 1.61 5 08/02/21 16:53 JTR 6010D
Chromium 47.9 mg/Kg - dry 4.02 5 08/02/21 16:53 JTR 6010D
Lead 23.8 mg/Kg - dry 4.82 5 08/02/21 16:53 JTR 6010D
Molybdenum <4.02 mg/Kg - dry 4.02 5 08/02/21 16:53 JTR 6010D
Analytical Method: SM-2540G
Test Results
Units MQL DF Date / Time By Analytical
Analyzed Batch
Moisture
68.9
0.010 1 07/27/21 16:43 FMM L565949
Qualifiers/
Definitions
DF Dilution Factor MQL Method Quantitation Limit

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SAR
Sodium Absorption Ratio
Na : Sodium (Mg/L) Equivalent weight: 23
Ca : Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M fL Mc(Mq/L)
391.86 11100.94
125.02
Na (ME)
Ca (ME)
Mg (ME)
5.435652
19.593
91.745
SAR= Na Milli Equivalentl[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 0.728526
(From Mg/L entered above)
I SAR= 0.728775 I
Na (ME)
Ca (ME)
Ma (ME)
5.44
19.69
91.75
(From ME entered below)
The amour
amount of E
Permitting !